Healthcare Provider Details

I. General information

NPI: 1649089426
Provider Name (Legal Business Name): CONSTANCE MCFARLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 PINE ST
PINE HILL NJ
08021-6456
US

IV. Provider business mailing address

1505 PINE ST
PINE HILL NJ
08021-6456
US

V. Phone/Fax

Practice location:
  • Phone: 856-685-0090
  • Fax:
Mailing address:
  • Phone: 856-685-0090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15527700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: